The Virginia Council of Nurse Practitioners (VCNP) eagerly supports regulatory changes that recognize the role of the clinical nurse specialist (CNS) utilizing national core clinical competencies. This regulatory change is fundamental to differentiate the CNS role from that of the professional nurse reflected in the current regulatory language. Additionally, regulations should accommodate CNSs who are seeking initial registration by endorsement, renewal or reinstatement consistent with the APRN Consensus Model. As an advanced practice registered nurse (APRN), CNSs are integral members of the interprofessional health care team with advanced level competencies to improve patient outcomes, implement evidence?based practice, increase access to care and provide cost-effective care. Alignment of regulations for CNSs with the APRN Consensus Model will permit practice to the full extent of their education and training. Additionally, alignment of regulations with the Consensus Model will aid in increasing access to qualified health care providers to improve access to and quality of care for citizens of the Commonwealth.